Organization Active NPI

Michael Cheeluen Chan,a Professional Corporation

  • General Practice Physician
  • Torrance, CA
National Provider Identifier
1497807325
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MICHAEL CHEELUEN CHAN,A PROFESSIONAL CORPORATION
Practice address
21150 Hawthone Blvd
202
Torrance, CA 90503
Phone
(213) 254-7062
NPI assigned
Jan 18, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Cheeluen Chan, MD
Title
Ceo
Phone
(213) 254-7062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

21150 Hawthone Blvd
202
Torrance, CA 90503

Mailing address

21150 Hawthone Blvd
202
Torrance, CA 90503
Phone (213) 254-7062

National Provider Directory

National Provider Directory

Locations

21150 Hawthorne Blvd
Ste 202
Torrance, CA 90503
Phone (213) 254-7062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1497807325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 HAWTHONE BLVD",
            "address_2": "202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "213-254-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 HAWTHONE BLVD",
            "address_2": "202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "213-254-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CHEELUEN CHAN,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHEELUEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-254-7062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.